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Rh several similar cases in individuals of hetero- and homo- sexuality. The cause may often be shown to be an early association, and such may always be assumed. It is only in this way that one can explain why a certain costume cannot be resisted by such individuals, no matter what person wears the fetich. Thus one can understand why, as Coffignon (op. cit.) relates, men at brothels demand that the women with whom they are concerned put on certain costumes, such as that of a ballet-dancer, or nun, etc.; and why these houses are furnished with a complete wardrobe for such purposes.

Binet (op. cit.) relates the case of a judge who was exclusively in love with Italian girls who came to Paris as artists’ models, and their peculiar costume. The cause was here demonstrably an impression made at the time of the awakening of the sexual instinct.

A third form of dress-fetichism, having a much higher degree of pathological significance, is by far the most frequent. In this form it is no longer the woman herself, dressed, or even dressed in a particular fashion, that constitutes the principal sexual stimulus, but the sexual interest is so concentrated on some certain article of female attire that the lustful idea of this object is entirely separated from the idea of woman, and thus obtains an independent value. This is the real domain of dress-fetichism, where an inanimate object—an isolated article of wearing-apparel—is alone used for the excitation and satisfaction of the sexual instinct. This third form of dress-fetichism is also the one that is important forensically.

In a large number of these cases the fetiches are articles of female underwear, which, owing to their private use, are suited to occasion such associations.

Case 82. K., aged 45, shoemaker, is reported to be without hereditary taint. He is peculiar, and has small mental endowment. He is of masculine habitus and without signs of degeneration. Previously blameless in conduct, on the evening of July 5, 1876, he was detected taking stolen female under-garments from a place of concealment. There were found with him about three hundred articles of the female toilet, among them, besides chemises and drawers, night-caps, garters, and a female doll. When arrested he was wearing a chemise. Since his thirteenth year he had been a slave to an impulse to steal women’s linen; but, after his first punishment for it, he had become very careful, and stolen with refinement and success. When this longing came over him, he would grow anxious, and his head would become heavy. Then he could not resist the impulse,